Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PIEDMONT HEALTHCARE, P.A.

NPI: 1912999897 · STATESVILLE, NC 28625 · Dermatology Physician · NPI assigned 08/17/2005

$34.07M
Total Medicaid Paid
1,524,601
Total Claims
1,165,312
Beneficiaries
196
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUIN, GREG (CFO)
NPI Enumeration Date08/17/2005

Related Entities

Other providers sharing the same authorized official: GUIN, GREG

ProviderCityStateTotal Paid
PIEDMONT HEALTHCARE, PA STATESVILLE NC $162K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 93,288 $3.07M
2019 99,801 $3.62M
2020 92,863 $3.18M
2021 210,236 $5.47M
2022 335,742 $6.94M
2023 345,890 $6.37M
2024 346,781 $5.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 186,892 146,862 $11.10M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 126,042 101,977 $6.46M
99199 Unlisted special service, procedure or report 663,886 485,465 $3.15M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 18,974 16,017 $1.73M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17,335 14,344 $1.52M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14,339 12,164 $1.30M
87428 16,333 11,343 $849K
90472 Immunization administration, each additional vaccine (list separately) 26,839 22,886 $778K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 39,888 33,826 $768K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,476 5,360 $647K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 3,789 2,247 $620K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,664 3,521 $466K
99215 Prolong outpt/office vis 5,374 4,313 $433K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,871 3,829 $348K
D0145 Oral evaluation for a patient under three years of age 9,721 8,310 $337K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 9,343 6,301 $288K
96110 Developmental screening, with scoring and documentation, per standardized instrument 25,383 21,405 $255K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 17,687 13,959 $225K
95117 28,437 13,255 $218K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,628 1,315 $207K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,921 703 $195K
99233 Prolong inpt eval add15 m 4,944 2,530 $169K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,691 2,087 $167K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 11,068 5,498 $150K
D1206 Topical application of fluoride varnish 9,728 8,314 $148K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 2,385 1,797 $98K
90474 4,540 3,914 $90K
99232 Subsequent hospital care, per day, moderate complexity 2,786 1,569 $63K
90460 Immunization administration through 18 years of age via any route, first or only component 1,498 1,216 $58K
85027 7,411 6,249 $54K
83036 Hemoglobin; glycosylated (A1C) 9,695 8,206 $49K
36415 Collection of venous blood by venipuncture 26,555 21,472 $49K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,413 6,321 $48K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 885 728 $46K
96127 11,209 9,164 $45K
80053 Comprehensive metabolic panel 7,824 6,845 $45K
64483 450 337 $42K
95115 6,618 3,241 $42K
80061 Lipid panel 4,421 3,856 $40K
84443 Thyroid stimulating hormone (TSH) 3,133 2,816 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,768 1,947 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,189 834 $34K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 381 279 $34K
81025 4,294 3,161 $27K
94010 1,128 995 $24K
95886 483 432 $24K
87807 1,861 1,430 $24K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 985 830 $21K
90651 783 658 $20K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,880 5,082 $18K
99243 196 182 $17K
99460 202 181 $17K
99238 Hospital discharge day management, 30 minutes or less 271 231 $17K
87081 2,652 2,033 $17K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 778 354 $16K
69210 555 467 $16K
84439 1,954 1,717 $15K
90734 870 698 $14K
87086 Culture, bacterial; quantitative colony count, urine 1,896 1,364 $13K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 168 143 $12K
99244 Office or other outpatient consultation, moderate to high complexity 81 78 $11K
94060 611 527 $11K
95816 133 105 $11K
73630 594 452 $11K
95810 Polysomnography; sleep staging with 4 or more additional parameters 28 24 $10K
81001 3,277 2,702 $9K
92567 792 597 $9K
95251 622 526 $9K
95910 126 111 $8K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 91 76 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 161 128 $8K
99051 324 301 $8K
92551 32,538 27,309 $7K
99242 112 111 $7K
92557 299 248 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 497 397 $7K
92550 687 595 $7K
59025 Fetal non-stress test 355 264 $6K
87430 533 388 $6K
99307 733 610 $6K
90686 4,281 3,555 $5K
81003 2,569 1,956 $5K
71046 Radiologic examination, chest; 2 views 318 271 $5K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 143 135 $5K
99223 Prolong inpt eval add15 m 208 200 $5K
73620 280 221 $5K
94729 406 354 $5K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 2,136 1,837 $4K
51798 709 574 $4K
94726 353 308 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 212 152 $4K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 33 21 $4K
93000 535 452 $4K
80305 639 578 $4K
96161 1,030 840 $4K
17110 60 49 $4K
99254 26 26 $3K
99173 32,837 27,559 $3K
82607 330 271 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 21 15 $3K
99383 28 24 $3K
62323 85 44 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 54 36 $3K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 296 198 $3K
76801 30 26 $3K
96160 723 640 $2K
90473 122 105 $2K
82746 202 166 $2K
20553 101 89 $2K
84481 106 96 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 129 68 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 38 25 $1K
20610 89 66 $1K
90715 327 265 $1K
43235 33 27 $1K
92588 27 27 $1K
62321 17 13 $1K
93922 44 33 $1K
0002A 20 19 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 37 25 $1K
99459 142 128 $1K
93970 14 12 $1K
86140 206 187 $930.92
82785 85 75 $919.37
82043 322 272 $916.71
0001A 13 13 $795.00
87420 59 55 $763.02
82950 173 107 $729.03
99497 188 174 $726.48
85652 365 331 $716.68
64484 16 15 $648.69
80050 General health panel 77 64 $626.00
J2785 Injection, regadenoson, 0.1 mg 24 13 $614.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 244 202 $604.88
99406 137 116 $602.95
45380 Colonoscopy, flexible; with biopsy, single or multiple 19 12 $567.00
90672 238 205 $555.52
83735 105 86 $532.90
99407 50 47 $526.82
82784 36 32 $490.77
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $486.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,189 931 $464.69
99401 21 12 $459.60
82570 193 165 $458.51
36416 3,262 2,939 $457.13
90682 38 33 $451.44
99441 75 64 $450.22
82728 29 26 $420.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 39 37 $397.02
81002 298 250 $384.02
90633 3,722 3,084 $367.37
93015 23 13 $346.81
93248 19 13 $311.79
99308 Subsequent nursing facility care, per day, straightforward 27 24 $311.05
99305 25 18 $308.81
91200 14 14 $282.94
83550 30 27 $280.28
93296 40 39 $239.33
43450 14 13 $215.55
83540 30 27 $207.74
90619 301 244 $160.02
99222 Initial hospital care, per day, moderate complexity 13 13 $132.28
82044 69 62 $88.25
93244 13 12 $76.23
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 13 12 $49.00
J1885 Injection, ketorolac tromethamine, per 15 mg 50 38 $33.57
85018 13 13 $32.12
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 15 12 $26.41
91307 16 12 $10.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 18 12 $2.64
90680 2,004 1,787 $2.23
90681 2,398 2,016 $1.20
99000 4,284 3,239 $0.03
90698 1,937 1,724 $0.00
90723 4,604 3,921 $0.00
90696 292 218 $0.00
90697 2,071 1,705 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 235 233 $0.00
90677 1,481 1,443 $0.00
90647 2,291 1,969 $0.00
90656 275 261 $0.00
90716 109 89 $0.00
G0008 Administration of influenza virus vaccine 234 233 $0.00
90744 241 217 $0.00
90660 23 21 $0.00
90673 13 13 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 14 14 $0.00
90381 12 12 $0.00
90670 11,289 9,452 $0.00
90685 293 287 $0.00
91300 57 46 $0.00
90710 334 250 $0.00
G0444 Annual depression screening, 5 to 15 minutes 168 165 $0.00
90707 126 101 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 70 70 $0.00
90662 12 12 $0.00